Summary
This pragmatic, multisite randomised controlled trial tests whether a Toddler Oral Health Intervention delivered by oral health coaches at well-baby clinics reduces early childhood caries incidence compared to conventional oral health education alone. The intervention combines evidence-based behavioural strategies for caries prevention and is delivered to parents of children aged 6–48 months in the Netherlands. The trial will provide evidence on the clinical effectiveness and cost-effectiveness of this preventive approach in a primary care setting.
UK applicability
Early childhood caries prevalence and prevention strategies are relevant to UK paediatric dental and primary care settings. The pragmatic trial design and integration with well-baby clinic infrastructure may inform implementation in UK health visiting and dental screening programmes, though health system structures and caries epidemiology differ between the Netherlands and United Kingdom.
Key measures
Cumulative caries incidence at 48 months; caries incidence density at 48 months; cost-effectiveness ratio; intermediate outcomes at 24 months
Outcomes reported
The study measures cumulative caries incidence and caries incidence density at 48 months of age in children receiving an oral health coaching intervention versus usual care. A cost-effectiveness evaluation is also planned.
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